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Arizona rates for HCPCS L0113

Cranial Cervical Orthosis Torticollis Type With Or Without Joint With Or

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $170.99 / $235.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.05 / $318.07 / $575.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $293.48 / $399.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $192.25 / $192.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $140.34 / $398.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $147.55 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.59 / $153.49 / $231.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.59 / $153.49 / $231.21